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Systematic review of descriptive studies that investigated associated factors with the management of incontinence in older people in care homes
Author(s) -
Roe Brenda,
Flanagan Lisa,
Jack Barbara,
Shaw Christine,
Williams Kate,
Chung Alan,
Barrett James
Publication year - 2013
Publication title -
international journal of older people nursing
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.707
H-Index - 29
eISSN - 1748-3743
pISSN - 1748-3735
DOI - 10.1111/j.1748-3743.2011.00300.x
Subject(s) - toileting , urinary incontinence , medicine , medline , nursing , older people , family medicine , gerontology , activities of daily living , physical therapy , surgery , political science , law
Background. Incontinence is prevalent among older populations and residents in care homes. Aim and objectives. This paper is a review of descriptive studies that investigated associated factors related to managing urinary incontinence in older people in care homes. A systematic literature review was undertaken. MEDLINE and CINHAL were searched from 1996–2010 using the Cochrane Incontinence Review Group search strings for urinary and faecal incontinence including all research designs. Results. Sixteen studies were identified that reported on associated factors related to comorbidities, management preferences, policies, staff views and knowledge or methodological studies. Non‐invasive methods involving toileting and use of pads were common management approaches. No studies aimed at maintaining continence were identified. Conclusions. Factors associated with incontinence need to also be considered when planning and managing care for individuals, and developing and designing systems of care within care homes. Further study in care home populations to change or inform practice and provide effective care is warranted. Preventive studies that maintain continence are required. Implications for practice. Older people and their families should be involved with decisions regarding their preferred care, goals, management and outcomes for managing incontinence, promoting or maintaining continence.